Healthcare Provider Details

I. General information

NPI: 1255752770
Provider Name (Legal Business Name): JKR ELDERCARE ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2013
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2245 GATEWAY ACCESS PT SUITE 101
RALEIGH NC
27607-3077
US

IV. Provider business mailing address

104 ALDEN VILLAGE CT
CARY NC
27519-9793
US

V. Phone/Fax

Practice location:
  • Phone: 919-746-7050
  • Fax: 919-788-1440
Mailing address:
  • Phone: 919-746-7050
  • Fax: 919-788-1440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARCIA K JARRELL
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential:
Phone: 919-746-7050